PEPconnect

MR Basic syngo

This web-based training will introduce the learner to Siemens’ proprietary imaging platform, syngo®. While this is a cross-modality software, attention will be paid to the syngo® user interface as it relates to Magnetic Resonance. Basic components and features such as the navigation of the Patient Browser and Task cards will be discussed. Participants will learn how to register a patient for a MR examination and how to utilize the 3D task card.

Welcome to the MR Basic syngo web based training.  This training will provide an overview of the MR syngo platform and features.   You should now be able to: Identify the main features of the syngo platform layout Demonstrate how to Register a patient Navigate the Patient Browser Identify the Exam Task Card layout and features List the steps required to perform a patient exam Identify the Dot Engine Exam Task Card layout Recognize the layout of the Exam Explorer Identify the Viewing Task Card layout and features Identify the 3D Task Card layout and features Perform 3D MIP and MPR reconstructions Identify the Filming Task Card layout and features As a result of this training you will be able to: Identify the main features of the syngo platform layout Demonstrate how to register a patient Navigate the Patient Browser Identify the Exam Task Card layout and features List the steps required to perform a patient exam Identify the Dot Engine Exam Task Card layout Recognize the layout of the Exam Explorer Identify the Viewing Task Card layout and features Identify the 3D Task Card layout and features Perform 3D MIP and MPR reconstructions Identify the Filming Task Card layout and features In this section we will discuss the basic navigation of the syngo platform including the use of the symbol keypad. The syngo platform consists of: Main menu Task cards Subtask cards Icons Status bar Hover your mouse over the image below to see the location of the screen layout components.   Quick navigation tool Buttons for: Accessing Patient Registration Patient Browser Paging through images and series Hover your mouse over the image below to see additional details about the most frequently used buttons.   Provides user with the fields required to register a patient exam To access: Select Patient Register from the Main Menu Click the Patient Registration button on the symbol keypad. Select the tabs below to view the Patient Registration windows and the steps required to register a patient. Patient Registration Workflow window: Specify patient details All bold fields are mandatory Patient Confirmation window: Specify Exam protocol Complete the Patient Registration To register a patient follow these steps: Complete all of the mandatory/bold fields on the Patient Registration screen Complete any (optional) fields as needed Click the Exam button to go to the Patient Confirmation screen Select the protocol Complete all mandatory/bold fields Complete additional (optional) fields as needed Click the Confirm button to complete registration   Displays all patient data and images To access: Select Patient Browser from the Main Menu (or) Click the Patient Browser button on the symbol keypad Four main folders: Local Database Patient folder Study folder Series folder Selecting the series folder displays instances (or images) of that series. Hover your mouse over the image below to view the location of these folders.   Various icons used for navigation are located along the top of the Patient Browser. Hover your mouse over the image below to view details of the most commonly used icons.   Patient Applications Transfer Edit Sort  Select the tabs below to view the most commonly used drop-down menus. Close Patient in all Task Cards Open Patient Browser Make sure Patient is not Protected Select Patient, Study, Series or images that need to be corrected Select Edit > Correct from Main Menu Bar (or) Select > Correct Icon Correct information for Patient, Study, Series or Images Select OK Close Patient in all Task Cards Open Patient Browser Make sure Patient is not Protected Select Patient, Study, Series or Images that need to be deleted Select Edit > Delete from Main Menu Bar (or) Select > Delete Icon Delete Confirmation window opens - Do you really want to delete the selected objects > Select YES - Delete confirmation window (Delete Permissions) > Select YES, YES to ALL, or NO     The Exam Task Card contains functions related to scanning a patient.  The layout of the Exam Task Card consists of the GSP’s, Stamp Segments, Patient View (also known as the Parameter Cards or Program Area) and the Program Control Area also known as the Measurement Queue. Hover your mouse over the image below to see the location of the screen layout components Selecting the Exam Task Card icons located on the right side of the screen will open sub-menus. Hover your mouse over the image below to see the sub-menus and detailed information regarding the various exam task card icons. Parameter cards are used to optimize your pulse sequence. Select the tabs below to see the main parameter cards. Hover your mouse over the image below to see detailed information regarding the Program Control Area icons.   Click the links below to view details on how to perform a routine scan utilizing the Exam Task Card. Exam Task Card Workflow Video Exam Task Card Workflow Video   Exam Task Card Workflow Step by Step Exam Task Card Workflow Step by Step Checklist TitleChecklist TypeChecklist ContentStep 1HTMLFrom the Main Menu, select Patient and then Register. Step 2HTML The Patient Registration window will appear. Complete all mandatory fields that are in Bold text and any optional fields needed on the Patient Registration screen. Then select the Exam button and the Patient Confirmation window will appear.  Step 3HTML In the Patient Confirmation window, complete all Bold fields and any optional fields as needed, in this example we entered a Study Comment. Select a Protocol from the All Protocols menu and enter a Study Comment if needed. The Study Comment when entered will be placed on all images that are acquired during the measurement. Select Confirm, the Patient is now registered and the data is transferred to the Exam Task Card. Step 4HTML The sequences are located in the Program Control Area on the left. The AAKnee_Scout doesn’t run automatically. Select the Apply button to start the pulse sequence. Once the scout is done scanning the images will appear in the 3 GSP segments and the Proton Density Fat Saturation Coronal sequence will open. The Guidance tab displayed to the right of the screen guides the user in Slice/Slab, Field of View and Saturation Band placement. Step 5HTML The Minimized Parameter tab displays a list of common parameters the user can modify for the current patient examination. Position the slices and modify any parameters for the Proton Density Fat Saturation Coronal sequence, then select Apply to start the measurement. Step 6HTML The T2 BLADE Fat Saturation Sagittal sequence will automatically open, once the previous sequence starts. If additional parameters need to be modified that are not displayed on the minimized parameter card. Select the Details View icon and select any parameter card to view and modify parameters as needed. Position the Slices and Field of View and select the Apply button to start the measurement. Step 7HTML The Proton Density Turbo Spin Echo Coronal sequence will automatically run since the copy reference is active. The Copy Reference is denoted by the double page with the number displayed to the right of the symbol.  Step 8HTML  The Proton Density Turbo Spin Echo Sagittal sequence will also automatically run since the copy reference is active.  Step 9HTML The Proton Density Turbo Spin Echo Fat Saturation Transverse sequence will open automatically, once the previous sequence starts. Since a Transverse plane was not run previously, Slices, and the Field of View will need to be positioned and parameters modified as needed. Select the Apply button to start the measurement. Step 10HTML The T1 Spin Echo Sagittal sequence will automatically run since the copy reference is active.  Step 11HTML Images acquired can be reviewed by depressing the left mouse on the image icon and dragging and dropping into a GSP segment. To review and page through the images, left mouse click on the dog ears found in the top right corner of each GSP segment. The examination is completed. Guidance View - Images and Text displayed guide the user when positioning Slices/Slabs, Field of View and Saturation Band Placement Limited parameters Details View - Access all parameters for modifications   Clinical protocols are used as a baseline and cannot be modified in the Siemens Tree. Copy the Siemens protocol or sequence to the USER Tree, make all modifications and save the protocol or sequence. Copy the Siemens protocol or sequence into the Exam Task Card; make all modifications and run protocol or sequence. Copy Paste Delete Move Up Move Down Insert Pause - contrast pause or measurement pause (e.g., talk to patient) Save Program - Saves modifications to protocol or sequence. Toggle between Config Mode and Simulation Mode Configuration Mode – Gray icon; provides an overview of the Exam Strategy Branches within a Dot Engine program Simulation Mode – Blue icon, Evaluate the Protocols and Sequences within a Dot Engine Strategy (e.g., Standard)   Exam Explorer Main Menu > Tools > Show Unlicensed Items Once selected the customer can see all pulse sequences including the pulse sequences that were not purchased by their facility. Unlicensed pulse sequences displayed are grayed out and cannot be opened, modified or scanned.   Exam Explorer Main Menu > Edit > Find Name > Enter Name Look In > Select SIEMENS, USER, Selected object, or All Select > Find button Result > highlight selection Select > Properties Protocol Properties Execution dialog window opens Modify Execution, Auto load and Protocol parameters Make changes > Select OK   The Viewing Task card is a tool for viewing, optimizing, and evaluating the patient's data for diagnosis. Open Patient Browser Select the Patient, Study, Series or Images Select Load to Viewing icon or select from the Main Menu > Patient > Load to Viewing . Stripe - Images from a series populate all segments sequentially Stack - Images from each series populates its own individual segment Layouts 1:1, 2:1, 4:1, 9:1, 16:1 - Modify viewing layouts Automatic Movie - Plays images in the active segment in a movie mode   Minify by 0.5 - Reduce image size by a factor of 0.5 Magnify by 2.0 - Enlarge image by a factor of 2.0 Zoom Factor - Manually type in a zoom factor for magnification Fit to Segment - Returns image to original size Zoom/Pan - Manually zoom and Pan the image in the active segment Home Zoom/Pan - Image returns to original size and position in the active segment Auto Windowing - Changes window setting of image to a default selection   Circle - Mark and evaluate anomalies in the images or evaluate gray scales Distance - Measure the length between two points Angle - Calculate an angle after two lines are created that intersect Freehand RoI - Draw any shape freely Pixel Lens - Display the average gray scale values and coordinates of the marker relative to isocenter Annotate - Annotate text and/or add an arrow   Patient Registration - Opens the registration window to Register a new patient  Position Display: Series - Creates a position display (Reference image) using the 3 reference images  Position Display: Selection - Creates a reference image to display slices onto a different image Close Patient - Closes patient images out of the open folder in the Viewing Task Card only Film Preview - Shows series/image numbers currently on virtual film sheet  Copy to Film Sheet - Sends series or images to the Filming Task Card Local Database - Opens the Patient Browser and defaults to the Local Database 3D MPR - Loads selected image(s) into the 3D Task Card as a Multi Planar Reconstruction (MPR) Send To - Sends selected image(s) to preferred network node (e.g., PACS) Select the tabs below to view the Patient and Image pull-down menus.   Patient Exam Data Orientation label System specific informaiton Scale bar Window values/Image matrix Comment lines Exam/Image parameters Orientation label The 3D Task Card is used to reconstruct 3D Anatomical images using MIP (Maximum Intensity Projections) to view vascular structures. MPR (Multi Planar Reconstruction) is used to reformat images into additional orientations. Open the Patient Browser Select the 3D series Select Applications > 3D MIP or MPR Free Mode - Freely change angulations of the reference lines in any segment Hide Reference Lines - Removes reference lines from all 3 image segments Orientation Control - Controls in-plane rotation of reference and calculated images (MPR) Rotate Images - Rotate an image freely  Zoom/Pan - Magnify or Minimize and Pan images Home Zoom/Pan - Resets image to original display in active segment MPR (Multi Planar Reformat) - Reconstruct 3D Anatomical images into other orientations MPR Thick - Defines the thickness of the original slice MIP (Maximum Intensity Projection) - Reconstruct 3D Anatomical images to view vascular structures MIP Thin – Projected image are calculated through a slice of the volume (user defines thickness of the slice for reconstruction) Patient View - Changes the orientation of the image in the active segment Default Orientation - Changes all image segments back to their initial orientations Ortho Sync - 2 segments are placed perpendicular to the reference segment Parallel Ranges - Creates slices with a defined slice thickness and distance perpendicular to the reference image Radial Ranges - Creates a range of images from different angles Curved Ranges - Creates a series of curved parallel images with a defined thickness and distance perpendicular to the reference image Curved Mode - Creates a curved slice perpendicular to the reference image VOI Clipbox - Use a purple box to restrict the data set to a rectangular VOI VOI Punch Mode - Removes unwanted tissue with a tracing (drawing) tool   Save - Saves image in active segment to the Patient Browser Save and Copy to Film Sheet - Saves and sends images in the active segment to the Filming Task Card Save As - Modify the series name and add an image comment prior to saving images to the Patient Browser Close Patient - Closes patient images in the 3D Task Card Multi Planar Reconstruction (MPR) is used to reformat patient images into additional anatomical orientations. Click the links below to see a video of an MPR knee reformat in the Coronal plane and a step by step checklist of the MPR Workflow. MPR Workflow Video MPR Workflow Video   MPR Workflow Step by Step MPR Workflow Step by Step Checklist TitleChecklist TypeChecklist ContentStep 1HTMLOpen the Patient BrowserStep 2HTMLSelect a 3D SeriesStep 3HTMLSelect Applications > 3D > MPR Load images from the Patient Browser into the 3D Task Card Step 4HTMLSelect 3D Task Card > left mouse click on one of the 3 segments to activate (e.g., Sagittal, Coronal, or Axial) Step 5HTML Select Parallel Ranges icon – Create a range of slices on one of the images 3D: Parallel Ranges window opens – Define the following Select Horizontal Ranges icon (or) Vertical Ranges icon Define ranges start and End points Swap Range Order – Reverses image numbering Constant Number of Images Icon On – Keeps number of slices constant and modifies distance between images in millimeters when defining Start and end points Icon Off – Keeps distance between images constant and modifies the number of slices when defining Start and end points Image thickness Distance between images Number of images Select Start – Calculates MPR image in the lower right quadrant Step 6HTML Select Save As icon On the 3D: Save As window:  Comment – Comment placed on all images Range series name – Names series in Patient Browser Select OK – Calculated images are saved to the Patient Browser The Maximum Intensity Projection (MIP) workflow is used to reconstruct 3D Anatomical images to view vascular structures. Click the links below to see a video of a Brain MIP in the Sagittal and Axial planes and a step by step checklist of the MIP Workflow. MIP Workflow Video MIP Workflow Video   MIP Workflow Step by Step MIP Workflow Step by Step Checklist TitleChecklist TypeChecklist ContentStep 1HTMLOpen the Patient Browser Step 2HTMLSelect a 3D Angiography SeriesStep 3HTMLSelect Applications > 3D > MIP Load images from the Patient Browser into the 3D Task Card Step 4HTMLSelect 3D Task Card > left mouse click on one of the 3 segments to activate Step 5HTML Select VOI Punch Mode icon When the VOI Punch Mode icon is selected the Draw Contour icon is automatically activated Depress left mouse in active segment and draw by moving the cursor over the area in the segment Select Keep Inside (or) Remove Inside Repeat the Draw Contour steps in the other segments to remove any additional unwanted tissue Step 6HTML Select an Axial image segment to create a “Right to Left” or “Left to Right” rotation Left mouse click on a segment to activate Select Radial Ranges icon 3D Radial Ranges window opens – Define the following Rotation Start and End points Angle Between images (or) Number of Images Select Start – Calculates MIP images in lower right quadrant Select Save As icon 3D: Save As window Comment – Comment placed on all images Range series name – Names series in Patient Browser Select OK – Calculated images are saved to the Patient Browser Step 7HTML Select a Sagittal image segment to create a “Tumble” or “Head to Foot” rotation Left mouse click on a segment to activate Select Radial Ranges icon 3D Radial Ranges window opens – Define the following Rotation Start and End points Angle Between images (or) Number of Images Select Start – Calculates MIP images in lower right quadrant Select Save As icon 3D: Save As window Comment – Comment placed on all images Range series name – Names series in Patient Browser Select OK – Calculated images are saved to the Patient Browser The Filming Task card is where patient images, series or studies are transferred and optimized prior to sending them to the camera for printing Open the Patient Browser Select the Patient Study, Series or Images Select the Copy to Film Sheet icon or Select the Main Menu > Patient and Copy to Film Sheet Copies - Change number of copies from default selection for a single film job Expose Film Task - Sends all film sheets in the patient folder to the camera Auto Expose - When activated, images copied to the Filming Task Card are automatically sent to the camera and processed once the film sheet is full Film Task Status - Displays the film job status for the camera Delete - Deletes selected image(s) from the filming task card only Expose every document - Expose every image or every "nth" image. (e.g., used for CT)   1x1 2x1 1x2 2x2 2x3 3x3 3x4 4x5 5x6   All Text - Turns on all image and patient text on image(s) Customized Text - Select specific text displayed on images No Text - Removes all text from images Show Graphics - Displays graphics on images Hide Graphics - Hides graphics on images Fit to Segment - Removes all magnification from selected images Original Image - Pixel size in the image is set to match the size of the film segment Clip Document - Used for Sagittal spines, zooms and removes space above and below images   Auto Window - Automatically adjusts window settings Zoom/Pan - Magnify or Minimize and Pan images Home Zoom/Pan - Resets image to original display in active segment